Revenue Cycle Supervisor

BASIC PURPOSE

Reporting to the Chief Financial Officer (CFO) the Revenue Cycle Supervisor will be responsible for assuring all client and program billing opportunities are processed properly. This includes all elements of the revenue cycle – such as pre-authorizations, eligibility checks, denials and credentialing are being handled properly. This position will also be responsible for updating and maintaining the agency’s contracting provisions with a variety of carriers and agencies.

• Provide Supervision of the agency’s billing function including staff; assure all billable services are processed in a timely manner including invoices and adjustments; working collaboratively with program staff, provide guidance to support their part in revenue cycle operations; work with program staff to assure coding in the electronic medical care system is up to date.
• Supervise all of the agency’s commercial insurance, Medicaid, and state-sponsored contracts, to include identifying contract options to pursue and maintain, and working with the CFO to negotiate fees and rates. Collaborate with program staff regarding new contracts and/or contract changes that best reflect the services provided.
• Assure that all billable agency staff are credentialed and billable with insurance and Medicaid carriers. This includes initial credentialing for new staff and renewing credentialing for ongoing professionals.
• On an ongoing basis, work with Program Directors to ensure that clinical, program, and front line staff have a clear understanding about their roles and responsibilities within the agency’s revenue cycle. Provide training and assistance to staff as needs arise. Maintain regular communication with the Program Directors and Chief Financial Officer to ensure all are properly informed of updates, concerns, and staff are trained accordingly.
• Manage accounts receivables and collections to ensure payments are collected in a timely manner.
• Ensure all procedures comply with HIPAA regulations.
• Other responsibilities may be assigned by the Chief Financial Officer.

Education, Training &

Work Experience:

Bachelor’s Degree or equivalent experience in Healthcare Administration, Business or Finance; supervision of staff members; collaboration with a variety of programs and locations.

Specialized Knowledge &

Skills:

Experience with electronic health records, and ideally Qualifacts. Three to five years’ experience with claims processing and coding to assure proper submission and payment. Must demonstrate effective problem solving skills.

Equipment & Applications:
Electronic Health Records;
Microsoft Office suite.

Work Environment & Physical Demands:
Typical office environment conditions with long periods of sitting. Minimal bending, lifting, twisting. Minimal travel required.

• Paid time off through accrued vacation and sick time & 9 recognized holidays – plus an additional floating holiday!
• Customize your insurance needs - medical, vision, and dental options to fit your family.
• Health Savings Account - FCC makes monthly contributions!
• Life insurance covered 100% by FCC.
• Short term & long-term disability, voluntary life, accident, cancer and critical illness insurance available.
• 401(k) Savings Plan - FCC will match up to 3% of the employee’s contribution (a 50% match on the first 6%).
• Business Casual dress code policy – dress appropriately per your schedule.
• Our Clients – the biggest benefit of all is that you are making a difference by supporting members in your local community!